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Full-Time

Behavioral Health Clinical Liaison

Roanoke Region

Confirmed live in the last 24 hours

CVS Pharmacy

CVS Pharmacy

10,001+ employees

America's leading retail pharmacy with nearly 10,000 locations nationwide.

Healthcare
Consumer Goods

Compensation Overview

$80.3k - $173kAnnually

+ Bonus + Commission + Short-term Incentive Program

Senior

Remote in USA

Must reside in Virginia in the Roanoke Region in specified counties.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Management
Requirements
  • Must reside within the Roanoke Region.
  • One of the following licenses in the state of Virginia is required: LPC, LCSW, LMFT, BCBA, LBA, or an RN with 5+ years of behavioral health experience
  • 2+ years experience with delivery of community-based Medicaid behavioral health services
  • 5+ years clinical experience in behavioral health, mental health, psychiatric care
  • 2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
  • If an LPC, LCSW, LMFT, BCBA, LBA, a Master’s degree in behavioral health field is required
  • If an RN, Bachelor's degree is required
Responsibilities
  • Clinically manage non-traditional mental health services and addiction recovery and treatment services through the utilization management process
  • Drives collaboration on quality of care, utilization management, disparities and care coordination to ensure optimal member outcomes.
  • Outreach to high utilizers to support treatment coordination, transitions of care, and appropriate discharge planning
  • Serve as the behavioral health subject matter expert to support care management staff in serving Aetna members in the respective region
  • Interface with community stakeholders to foster collaboration and provide education and training
  • Consults with Plan executive management regarding physical and behavioral health clinical issues as they relate to medical management (UM, CM, DM) provider and system of care issues, behavioral health and human services system issues
  • Supports and encourages CM and UM staff to function as interdisciplinary team, with requisite range and depth of subject matter expertise to meet the needs of the covered population.
  • Represents Plan to relevant external stakeholders, providers/vendors, & advocacy groups with regard to quality improvement initiatives, integrating member care, health plan success, and innovative care strategies.
  • Participate in interdisciplinary case rounds to address the needs of members with complex clinical presentations, identifies opportunities for improving rounds, and works with the clinical leadership team to optimize the value of rounds to the clinical staff.
  • Demonstrates knowledge about established and evolving biomedical, clinical, epidemiologic and social-behavioral sciences and the application of this knowledge to member care.- Participates/ supports process improvement initiatives within care management and across broader Plan operations.

Company Stage

N/A

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

N/A

Growth & Insights
Headcount

6 month growth

3%

1 year growth

3%

2 year growth

3%
Simplify Jobs

Simplify's Take

What believers are saying

  • The availability of updated flu and COVID-19 vaccines at CVS Pharmacy and MinuteClinic locations nationwide positions the company as a key player in public health initiatives.
  • The Health Zones funding and collaboration with local organizations in Fresno highlight CVS Pharmacy's role in improving community health outcomes.
  • The introduction of a new store brand for snacks, beverages, and groceries could attract a broader customer base and increase in-store sales.

What critics are saying

  • The competitive landscape in the retail pharmacy sector is intense, with major players like Walgreens and Rite Aid posing significant challenges.
  • The expansion into grocery and snack products may dilute CVS Pharmacy's brand identity as a healthcare provider.

What makes CVS Pharmacy unique

  • CVS Pharmacy's integration of digital tools for scheduling vaccinations and accepting walk-ins offers a seamless and convenient experience for customers, setting it apart from competitors.
  • The company's Health Zones initiative, which focuses on community health and access to healthy food, demonstrates a commitment to social responsibility that goes beyond traditional pharmacy services.
  • CVS Pharmacy's recent launch of a new store brand for snacks, beverages, and groceries diversifies its product offerings, making it a one-stop shop for consumers.